Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia

Frailty and malnutrition commonly co-occur but remains undetected and untreated in community settings. This study aimed to determine the prevalence of co-occurring frailty and malnutrition, and its associated factors among community-dwelling older adults in a rural setting in Malaysia. A cross-secti...

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Main Authors: Mustaffa, Musastika, Hairi, Noran Naqiah, Majid, Hazreen Abdul, Choo, Wan Yuen, Hairi, Farizah Mohd, Peramalah, Devi, Kandiben, Shathanapriya, Ali, Zainudin Mohd, Razak, Inayah Abdul, Ismail, Norliana, Sooryanarayana, Rajini, Ahmad, Nur Sakinah, Bulgiba, Awang
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Published: SAGE Publications 2024
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Online Access:http://eprints.um.edu.my/47018/
https://doi.org/10.1177/10105395241238092
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spelling my.um.eprints.470182025-01-08T07:13:51Z http://eprints.um.edu.my/47018/ Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia Mustaffa, Musastika Hairi, Noran Naqiah Majid, Hazreen Abdul Choo, Wan Yuen Hairi, Farizah Mohd Peramalah, Devi Kandiben, Shathanapriya Ali, Zainudin Mohd Razak, Inayah Abdul Ismail, Norliana Sooryanarayana, Rajini Ahmad, Nur Sakinah Bulgiba, Awang RA0421 Public health. Hygiene. Preventive Medicine Frailty and malnutrition commonly co-occur but remains undetected and untreated in community settings. This study aimed to determine the prevalence of co-occurring frailty and malnutrition, and its associated factors among community-dwelling older adults in a rural setting in Malaysia. A cross-sectional study was conducted among adults aged >= 60 residing in Kuala Pilah district, Negeri Sembilan, Malaysia. Physical frailty and nutritional status were assessed using the Fried phenotype and the Mini Nutritional Assessment (MNA), respectively. Among 1855 participants, 6.4% had co-occurring frailty and at-risk/malnutrition and 11.3% had co-occurring prefrailty and at-risk/malnutrition. Older age, fair-to-poor self-rated health, long-term disease, polypharmacy, activities of daily living (ADLs) and instrumental ADLs' disabilities, cognitive impairment, and poor social support were associated with higher odds of co-occurring frailty and malnutrition. Therefore, beside early identification, targeted intervention is crucial to prevent or delay the progression of frailty and malnutrition in this population. SAGE Publications 2024-03 Article PeerReviewed Mustaffa, Musastika and Hairi, Noran Naqiah and Majid, Hazreen Abdul and Choo, Wan Yuen and Hairi, Farizah Mohd and Peramalah, Devi and Kandiben, Shathanapriya and Ali, Zainudin Mohd and Razak, Inayah Abdul and Ismail, Norliana and Sooryanarayana, Rajini and Ahmad, Nur Sakinah and Bulgiba, Awang (2024) Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia. Asia Pacific Journal of Public Health, 36 (2-3). pp. 210-218. ISSN 1010-5395, DOI https://doi.org/10.1177/10105395241238092 <https://doi.org/10.1177/10105395241238092>. https://doi.org/10.1177/10105395241238092 10.1177/10105395241238092
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic RA0421 Public health. Hygiene. Preventive Medicine
spellingShingle RA0421 Public health. Hygiene. Preventive Medicine
Mustaffa, Musastika
Hairi, Noran Naqiah
Majid, Hazreen Abdul
Choo, Wan Yuen
Hairi, Farizah Mohd
Peramalah, Devi
Kandiben, Shathanapriya
Ali, Zainudin Mohd
Razak, Inayah Abdul
Ismail, Norliana
Sooryanarayana, Rajini
Ahmad, Nur Sakinah
Bulgiba, Awang
Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia
description Frailty and malnutrition commonly co-occur but remains undetected and untreated in community settings. This study aimed to determine the prevalence of co-occurring frailty and malnutrition, and its associated factors among community-dwelling older adults in a rural setting in Malaysia. A cross-sectional study was conducted among adults aged >= 60 residing in Kuala Pilah district, Negeri Sembilan, Malaysia. Physical frailty and nutritional status were assessed using the Fried phenotype and the Mini Nutritional Assessment (MNA), respectively. Among 1855 participants, 6.4% had co-occurring frailty and at-risk/malnutrition and 11.3% had co-occurring prefrailty and at-risk/malnutrition. Older age, fair-to-poor self-rated health, long-term disease, polypharmacy, activities of daily living (ADLs) and instrumental ADLs' disabilities, cognitive impairment, and poor social support were associated with higher odds of co-occurring frailty and malnutrition. Therefore, beside early identification, targeted intervention is crucial to prevent or delay the progression of frailty and malnutrition in this population.
format Article
author Mustaffa, Musastika
Hairi, Noran Naqiah
Majid, Hazreen Abdul
Choo, Wan Yuen
Hairi, Farizah Mohd
Peramalah, Devi
Kandiben, Shathanapriya
Ali, Zainudin Mohd
Razak, Inayah Abdul
Ismail, Norliana
Sooryanarayana, Rajini
Ahmad, Nur Sakinah
Bulgiba, Awang
author_facet Mustaffa, Musastika
Hairi, Noran Naqiah
Majid, Hazreen Abdul
Choo, Wan Yuen
Hairi, Farizah Mohd
Peramalah, Devi
Kandiben, Shathanapriya
Ali, Zainudin Mohd
Razak, Inayah Abdul
Ismail, Norliana
Sooryanarayana, Rajini
Ahmad, Nur Sakinah
Bulgiba, Awang
author_sort Mustaffa, Musastika
title Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia
title_short Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia
title_full Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia
title_fullStr Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia
title_full_unstemmed Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia
title_sort prevalence of co-occurrence of physical frailty and malnutrition and its associated factors among community-dwelling older adults in a rural district, malaysia
publisher SAGE Publications
publishDate 2024
url http://eprints.um.edu.my/47018/
https://doi.org/10.1177/10105395241238092
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score 13.22586